Individual provider Active NPI

Jennifer Avise, MD

  • Vascular Surgery Physician
  • Pleasanton, CA
National Provider Identifier
1801039615
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A137711 Issued in CA
Practice address
5924 Stoneridge Dr Ste 108
Pleasanton, CA 94588-5400
Phone
(925) 892-4290
NPI assigned
Apr 8, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 40

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 40

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Emory University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical Foundation 1,461 clinicians
Bass Medical Group 292 clinicians

Practice addresses (Care Compare)

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

350 30TH St
Suite 210
Oakland, CA 94609-3425
Phone (510) 832-6131

365 Lennon LN
Walnut Creek, CA 94598-5915

6600 Lone Tree Way
Brentwood, CA 94513-5256
Phone (925) 932-6330

Hospital & facility affiliations

  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion58
Varicose vein removal24
Leg revascularization (restoring blood flow)18

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160513001222 CA Practitioner - Vascular Surgery 4082936455 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A137711CAMDVascular Surgery Physician

Practice roles (29 of 30)

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Jan 8, 2019 Accepting new patients
County of Santa Clara Current Accepting new patients
Bass Medical Group CurrentSince Jun 26, 2023 Accepting new patients
Bass Medical Group Current Accepting new patients
Providence Medical Foundation CurrentSince Jul 15, 2025 Accepting new patients
Providence Medical Foundation Surgery CurrentSince Jul 15, 2025 Accepting new patients
County of Santa Clara CurrentSince Jan 8, 2019 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Jun 18, 2024 Accepting new patients
County of Santa Clara CurrentSince Jan 8, 2019 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
County of Santa Clara CurrentSince Jan 8, 2019 Accepting new patients
Providence Medical Foundation Current Accepting new patients
County of Santa Clara Current Accepting new patients
Bass Medical Group CurrentSince Jun 26, 2023 Accepting new patients
Stanford Health Care Surgery Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients
The Hospital Committee for the Livermore-Pleasanton Areas Past Accepting new patients
John Muir Health Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Marin General Hospital Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

350 30th St
Ste 210
Oakland, CA 94609
Phone (510) 832-6131

5924 Stoneridge Dr
Ste 108
Pleasanton, CA 94588
Phone (925) 225-0138

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1162 Montgomery Dr
Ste 300
Santa Rosa, CA 95405
Phone (707) 890-4250

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: javise164362@ehr.johnmuirhealth.com
  • Direct secure messaging: javise82170@santaclaravalley.direct-ci.net
  • Direct secure messaging: javise366781@hisp.ehr.sutterhealth.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A137711 CA
Vascular Surgery Physician 2086S0129X A137711 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

5924 Stoneridge Dr Ste 108
Pleasanton, CA 94588-5400

Mailing address

5924 Stoneridge Dr Ste 108
Pleasanton, CA 94588-5400

Other practice location 1

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 932-6330

Other practice location 2

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 795-7000

Other practice location 3

350 30th St Ste 210
Oakland, CA 94609-3425
Phone (925) 892-4290

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2026.

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1801039615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR STE 108",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR STE 108",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885400",
            "telephone_number": "925-892-4290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2637 Shadelands Dr",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982512",
            "country_code": "US",
            "telephone_number": "925-932-6330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Bon Air Rd",
            "address_purpose": "LOCATION",
            "city": "Greenbrae",
            "state": "CA",
            "postal_code": "949041702",
            "country_code": "US",
            "telephone_number": "415-795-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 30th St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093425",
            "country_code": "US",
            "telephone_number": "925-892-4290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVISE",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A137711",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A137711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.